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Oral Lichen Planus — NDEB AFK MCQ

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EasyOral PathologyOral Lichen PlanusNDEB AFK

Which condition is characterised by Wickham striae on the buccal mucosa?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DOral lichen planus

Wickham striae are fine, white, lace-like (reticular) lines that are pathognomonic of lichen planus. Oral lichen planus most commonly affects the bilateral buccal mucosa and may present in reticular, erosive, atrophic, plaque-like, papular, or bullous forms. Reticular is the most common form. Erosive lichen planus requires monitoring due to a small risk of malignant transformation (approximately 1-2%).

Reference: Neville – Oral and Maxillofacial Pathology, 4th ed., 2016